The Ministry of Healthcare of Russia, together with the Ministry of Labor of Russia, developed the parameters of the Health Sector Remuneration System (HSRS) for medical workers of public health care organizations as part of a pilot project launched in 7 regions. The draft regulation is submitted for public comment on the designated portal: regulation.gov.ru.
The proposed wage system in health care sector is aimed at establishing a mechanism for defining wages that is understandable and transparent for each employee, increasing the attractiveness of health care industry for young health care workers and reducing the difference in wages between different regions of Russia by increasing salaries in those regions where they are lower than the country average.
The parameters for HSRS were developed taking into account the analysis of current salaries in public health care organizations, where more than 2 million medical workers work today. When developing the draft new regulation, computational approbation (modeling) of the new remuneration system in the pilot regions was taken into account, and this modeling will affect salaries for 173 thousand employees.
The draft regulation specifies the types of positions of medical workers, the calculation methodology and the structure of wages, establishes a single list of compensation and incentive payments, and contains rules and conditions for their application.
Proposed salary structure includes:
- the official base salary,
- incentive payments, and
- compensation (balancing) payments.
The base salary is formed on the basis of three parameters:
- the calculated value set at the level of 13,617 rubles,
- the coefficient of work complexity performed by particular type of a health care worker
- and the coefficient of regional economic differentiation.
The size of the work complexity coefficient is set in accordance with 16 job groups. The size of the coefficient of regional economic differentiation is calculated on the basis of Rosstat (national statistics) data on the median salary in each constituent entity (region).
The draft resolution establishes 8 types of compensation payments and 16 types of incentive payments.
The norms of the regulation apply exclusively to regional healthcare organization in selected pilot regions of the Russian Federation.
The pilot project will start in December and run until the end of March 2022. Based on pilot results, the parameters Health Sector Remuneration System shall be clarified further. At the time of the pilot, a protective mechanism is provided: the salary of medical workers cannot be lower than the amount of payments under the current remuneration system.
At present, there is no unified system for calculating the salaries of medical workers in the health care system.
Earlier President of the Russian Federation Vladimir Putin instructed the Government to adopt regulations on the structure of salaries of medical workers. In November 2020, amendments to the Labor Code were adopted, which gave the Government the right to establish uniform requirements for sectoral wage systems. In June, a decree of the Government of the Russian Federation was adopted to conduct a pilot on the implementation of a sectoral wage system in the healthcare. 7 regions (440 organizations) were selected for the pilot project: Belgorod, Kurgan, Omsk, Orenburg, Tambov regions, the Republic of Sakha (Yakutia) and Sevastopol.
Based on the results of the pilot project, a sectoral wage system will be formed for public health care organizations throughout the country.
The implementation of the Health Sector Remuneration System is aimed at establishing uniform principles for defining wages for public health care system, increasing its fixed part, increasing transparency and fairness of wages, and reducing interregional differentiation in wages.
Source: https://minzdrav.gov.ru/news/2021/10/09/17567-minzdrav-i-mintrud-predstavili-na-obschestvennoe-obsuzhdenie-parametry-otraslevoy-sistemy-oplaty-truda-dlya-pilotnyh-regionov
